The subject matter described herein generally relates to medical imaging, and more particularly to a system and method generating an image of a contrast agent injected in an imaged subject, such as employed in mammography to analyze breast tissue.
Dual energy acquisition is a certain known method used to perform diagnostic mammography. This certain method of dual energy acquisition includes injecting the breast tissue of an imaged subject with a contrast agent (e.g. iodine), and acquiring a pair of images with differing spectras or ranges of energy (e.g., spectras of X rays). Referring to
In accordance with this certain known method of dual energy acquisition, a first image, called the low-energy image, is acquired with an energy range lower than the K-edge 20 of iodine (about 33.2 keV) (See
The certain known method of dual energy image acquisition includes a known logarithmic subtraction technique, in the form S=log(xh)−Rlog(xl) where (S) is the subtracted image and (Xh) and (xl) are the grayscale values of pixel data in the high-energy image and in the low-energy image, respectively. If the spectra of energy used acquire the images is mono-energetic, adjusting the parameter (R) to a well-suited value can suppress or subtract undesired image data associated with the breast tissue, leaving the image data of the contrast agent. However, it is known that this certain known method of logarithmic subtraction is not suitable when the spectra of energy used acquire the images is not mono-energetic.
Thus, there is need for a system and method of dual energy image reconstruction with enhanced visualization of the injected contrast agent that addresses the drawbacks described above. For example, there is a need for a system to reduce structure noise in the generated reconstructed images where the spectra are not mono-energetic or where the breast tissue composition is not uniform because of the spatial repartition of the glandular and fat tissues in the breast tissue.
The above-mentioned drawbacks are addressed by the embodiments of the subject matter described herein.
In accordance with one embodiment, an imaging system operable to generate an output image of a contrast agent injected into an imaged subject is provided. The system includes an energy source in communication with a detector, the detector operable to generate a plurality of radiological images of the imaged subject injected with the contrast agent. The system also includes a computer in communication with a display and to receive the acquired plurality of images from the detector. The computer includes a memory in communication with a processor, the memory including a plurality of programmable instructions for execution by the processor. The plurality of programmable instructions include acquiring at least one image of the contrast agent in the imaged subject with a spectra of energy from the energy source; detecting a plurality of grayscale values of pixel data of the contrast agent in the at least one image; calculating a predicted thickness of the contrast agent relative to the plurality of grayscale values of pixel data of the contrast agent detected in the at least one image; and generating an output image comprising an illustration of the predicted thickness of the contrast agent for illustration on the display.
In accordance with another embodiment, a method of generating an output image illustrative of a contrast agent injected into an imaged subject is provided. The method comprising the acts of acquiring at least one radiological image of the imaged subject under a spectra of energy; detecting a plurality of grayscale values of pixel data of the contrast agent in the first and second images; calculating a predicted thickness of the contrast agent relative to the plurality of grayscale values of pixel data of the contrast agent detected in the first and second images; and generating an output image comprising an illustration of the predicted thickness of the contrast agent for illustration on the display.
In accordance with another embodiment, a calibration phantom to be imaged by a radiological imaging system is provided. The phantom includes a main material of at least one thickness; and at least one insert of a contrast agent of a predetermined thickness located in the main material, the contrast agent operable to be detected in a radiological image of the calibration phantom.
Embodiments of varying scope are described herein. In addition to the aspects and advantages described in this summary, further aspects and advantages will become apparent by reference to the drawings and with reference to the detailed description that follows.
In the following detailed description, reference is made to the accompanying drawings that form a part hereof, and in which is shown by way of illustration specific embodiments, which may be practiced. These embodiments are described in sufficient detail to enable those skilled in the art to practice the embodiments, and it is to be understood that other embodiments may be utilized and that logical, mechanical, electrical and other changes may be made without departing from the scope of the embodiments. The following detailed description is, therefore, not to be taken in a limiting sense.
The system 100 generally includes an energy source 115 (e.g., an X ray source), a controller 120 for controlling an output energy of the source 105, an array of digital detectors 125 for acquiring input images of the imaged subject 110. In the certain example of mammography, the system 100 also includes a plate 130 operable to compress a breast tissue of the imaged subject 110 for enhanced imaging.
Still referring to
The system 100 also includes a computer 140 in communication to receive the acquired images from the array of detectors 125. One embodiment of the computer 140 is also connected in communication with the controller 120 and/or the source 115. The computer 140 is generally configured to process the acquired input images so as to construct or generate an output image 105 with enhanced visualized contrast of the injected contrast agent 112. An embodiment of the computer 140 generally includes a processor 150 operable to execute program instructions stored in a memory 155. The memory 155 can include any type of conventional storage medium (e.g., disk, hard-drive, network database, etc.). The computer also includes an input 160 and an output 165. The input 160 can include a keyboard, a touch-screen, etc. or other known type of input device operable to communicate information to the computer 140. The output 165 can include a monitor, a touch-screen, etc. operable to illustrate the output image 105 generated by the computer 140.
Having described the general construction of the system 100 to generate the output image 105 illustrative of reconstructed thickness of the contrast agent 112 injected in the imaged subject 110, the following is a description of a method 200 (See
A technical effect of the system 100 and method 200 described herein generally includes generating the output image 105 of a predicted thickness of the contrast agent 112 injected into a given tissue (e.g., breast) of the ROI 135 of the imaged subject 110 dependent on a detected grayscale value of the pixel data of the acquired input images of the ROI 135 of the imaged subject 110, a thickness of the imaged tissue, a type of imaged tissue (e.g., percentage of glandular to fatty tissue), and the spectras of low-energy and high-energy used to acquire the input images.
Assume, for sake of example, that the contrast agent 112 includes Iodine having a K-edge of 33.2 kV (See
An embodiment of the calibrating or simulating act 205 includes acquiring input images at low and high-energy of a calibration phantom 230 (See
Referring to
The computer 140 combines the stored information for predicted grayscale levels or values of pixel data of acquired in both low and high-energy input images of the predetermined thicknesses of the contrast agent 112 in the calibration phantom 235 in combination with the grayscale levels of pixel data in the acquired low and high-energy input images of the imaged subject 110, so as to calculate and create the output image 105 that includes the predicted thickness of the contrast agent 112 in the imaged subject 110, subtracting image noise associated with the thickness of the fat and glandular tissue in the ROI 135 of the imaged subject 110. Accordingly, the computer 140 removes visualization of the texture of the breast tissue from the output image 105, leaving an enhanced illustration of the predicted thickness of the contrast agent 112.
In accordance with one embodiment, the calibrating act 205 is performed for a series of phantoms 230 of different thicknesses 290 and having inserts 232 of the contrast agent 112 of different thicknesses (See
The computer 140 controls the energy of the source 115 via the controller 120 in acquiring pixilated image data of the above-described phantom(s) 230 or 250 under the same or similar low and high-energy conditions to be used in acquiring image data of the ROI 135 of the imaged subject 110.
Another embodiment of act 205 includes generating a mathematical model to simulate the predicted thicknesses of the contrast agent 112 injected into the imaged subject 110. One embodiment of the mathematical model representative of a predicted thickness of the contrast agent 112 is in accordance with the following polynomial function:
y=Σ(aij)φ(xl)iφ(xh)j
where
(y) is a contrast agent thickness,
(xl) is a detected grayscale value of pixel data acquired in the low-energy image,
(xh) is a detected grayscale value of pixel data acquired in the high-energy image,
(i) and (j) are integers, and
φ(x) is a function of a log-look up table (LUT), analogous to the table 310 of reference points 305 shown in
The computer 140 uses the above-described mathematical model and the detected grayscale values of pixel data acquired under low and high-energy so as to calculate and construct a combined image 105 illustrative of the predicted thickness of the contrast agent 112 in the imaged subject 110.
This embodiment of act 205 of generating the mathematical model that simulates a predicted thickness of the contrast agent 112 as a function of grayscale values of pixel data includes determining the coefficients (ai,j) in accordance with the following second order equation (i.e. with six parameters):
y=a
0,0
+a
1,0φ(xl)+a0,1φ(xh)+a1,1φ(xl)φ(xh)+a0,2φ(xl)2+a0,2φ(xh)2
The portion (i.e., a0,0+a1,0φ(xl)+a0,1φ(xh)) of the above-described mathematical equation generally represents a mathematical model for logarithmic subtraction. It should be understood that other higher order polynomial equations in alternative to the mathematical model described above can be used.
The computer 140 calculates the coefficients (ai,j) through linear regression analysis of the series of reference points (y, xl, xh) 305, similar to those shown in
In accordance with this embodiment of the simulating act 205, the mathematical model simulates generation of an x-ray energy spectrum given the potential (kVp) and values of parameters representative of the material composition of the radiation generating source 115. For example, assume the data in table 310 as shown in
Once the system 100 has created of generated the mathematical model that calibrates or simulates the predicted thickness of the contrast agent 112, the method 200 includes act 350 of injecting the contrast agent 112 into the imaged subject 110. Act 355 includes acquiring grayscale values of pixel data in the low and high-energy input images of the injected contrast agent 112 in the ROI 135 of the imaged subject 110.
Combining the generated calibration or simulation mathematical model with the acquired pixel data in the low and high-energy images, the method 200 includes an act 360 of generating the output image 105 including an illustration of the predicted thickness of the contrast agent 112 in relation to the ROI 135 of the imaged subject 110 (See
Referring to
Act 420 includes generating a thick to add correction to the low-energy image 410 in a known manner. The act 420 generally simulates addition or removal of selected image data representative of tissue at a boundary of the ROI 135 so that the full ROI (e.g., breast) 135 can be viewed with a unique width. Using this known technique, a “thick to add” correction is generated and stored which represents the radiological thickness of a layer of one-hundred percent fatty tissue that is added to the input acquired images to achieve a thickness equalization. Also generated and stored is a parameter (θf), which represents an adipose tissue threshold, such as the grayscale level of fatty tissue in acquired images, computed for the thickness equalization. The value of this parameter (θf) can be adjusted for a change in an assumption for the thickness of the tissue (e.g., breast tissue) used in the simulation of the reference points so that the simulation of fatty tissue results in the grayscale value (θf). Accordingly, this parameter (θf) can be adjusted based on the content of the acquired low and high-energy images.
Act 425 includes generating a model to correlate the acquisition data for the low-energy image 410 with the acquisition data for the high-energy image 415. Act 430 includes applying the model of act 425 in generating a “thick to add” correction for the high-energy image 415. Accordingly, both low and high-energy images 410 and 415 are modified using the generally same added thickness of material via the image chain model of act 425 that gives the grayscale level in the high-energy image 415 as a functional relation of the grayscale level in the low-energy image 410, in the form φ(xh)=αφ(xl) where (xh) and (xl) are the grayscale values respectively in the low and high-energy images 410 and 415. The image chain model of act 425 is used to simulate several points (xl, xh) by varying the tissue thickness while using the acquisition parameters 405 of the input low and high-energy images 410 and 415, respectively. The (α) factor can be computed by linear regression analysis.
Acts 435 and 440 generally include adding the “thick to add” corrections to the low and high-energy images 410 and 415, respectively, creating corrected low and high-energy images 445 and 450, respectively.
Alternatively, a higher-order polynomial expression can be used to generate a functional relation between the grayscale levels in the low-energy image 410 and the grayscale levels in the high-energy image 415.
Once the acquired low and high-energy images 445 and 450 have been corrected through adding of the respective “thick to add” technique, act 455 includes applying the calibration or simulation mathematical model generated in act 205 to the corrected low and high-energy images 445 and 450 so as to generate an output image 458 that includes an illustration representative of a predicted thickness of the contrast agent 112 in relation to the illustration of the tissue in the ROI 135, similar to the output image 105 described above.
Acts 460, 465, and 470 generally includes applying look-up tables (LUTs) to the respective images 410, 415, and 458 so as to create an image adapted with respect to dynamics. As an example, an operator can choose act 470 of applying the LUT to the output image 458 such that a resulting output image 475 fits a 12-bits integer dynamic range. Referring to
The system 100 and method 200 described above provides enhanced estimation of a thickness of the contrast agent 112 through the tissue in the ROI 135 under analysis (e.g., mammography of breast tissue) in combination with efficient removal of undesired structure (e.g., breast tissue). Also, the system 100 and method 200 allow for ready calibration adapted to a particular state of the system 100, enhancing accuracy of the predicted thickness of the contrast agent 112.
This written description uses examples to disclose the subject matter described herein, including the best mode, and also to enable any person skilled in the art to make and use the subject matter described herein. The patentable scope of the subject matter is defined by the claims, and may include other examples that occur to those skilled in the art. Such other examples are intended to be within the scope of the claims if they have structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal language of the claims.